Finding the Right Balance: Smart Deregulation in Health IT

by Leigh Burchell (Altera Digital Health), Chair, EHR Association Executive Committee

The current administration has made deregulation a central policy priority, aiming to reduce burden and costs in as many sectors of the economy as possible, including health care. This is exemplified by the January 2025 Executive Order 14192: Unleashing Prosperity Through Deregulation, which requires federal agencies to eliminate ten regulations for each new one introduced. 

As the trade association for health IT developers, we believe that smart deregulation should focus on removing outdated, redundant, and low-value requirements with ASTP/ONC and CMS playing a role more focused on driving improvements in standardized interoperability and health data exchange. Health IT regulation should support—not hinder—the industry’s collective ability to deliver safe, effective, and innovative technology solutions, without compromising the progress made or devaluing the investments in health IT over the last fifteen years. As always, we remain committed to working alongside federal agencies within the construct of a regulatory environment that benefits providers, developers, and—most importantly—patients.

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HTI-1’s EHR Reporting Provision Puts EHR Developers in the Middle

By David Bucciferro, Chair, EHR Association

In previous installments of this five-part blog series, we examined the EHR Association’s overarching concerns with ONC’s Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing Proposed Rule (HTI-1), as well as concerns with the transition to USCDI v3, proposed requirements related to Decision Support Interventions (DSI) and Predictive Models, and Patient Requested Restrictions. In this installment, we focus on our concerns with the HTI-1’s new Insights Condition and Maintenance of Certification Requirements provision.

According to ONC, Insights Condition fulfills a requirement in the 21st Century Cures Act for transparent reporting by creating a program to measure the performance of certified health IT (CEHRT) under a Condition and Maintenance of Certification. The goals of the EHR reporting program are to 1) address information gaps in the health IT marketplace and 2) provide insights on the use of specific certified health IT functionalities. 

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